Abstract:
AIM:This study analyzes risk factors implicated in postoperative complications and mortality after anterior resection in rectal cancer. MATERIAL AND METHODS:A total number of 378 patients with anterior rectal resection, diagnosed with rectal cancer and admitted at the IIIrd Surgery Clinic, "Octavian Fodor" Regional Institute of Gastroenterology and Hepatology, Romania, between 2009 and 2016. The inclusion criteria were anterior rectal resections with curative visa for rectal cancer. The complications we assessed are the following: anastomotic fistula, intra-abdominal infections, postoperative bowel obstruction and wound infection. RESULTS:There was statistical significance regarding male gender, emergency hospitalization, hypoproteinemia and the resumption of intestinal transit. Anterior rectal resection of tumors located on the middle rectum was associated with high rate of anastomotic fistula. Patients with manual suture of anastomosis developed intraabdominal abscess more frequently. In the multivariate analysis, hypoproteinemia and a number of lymph nodes >1 remained independently associated with the occurrence of wound infection. The 30-day mortality rate was 4.8% with 18 deaths and morbidity rate 20.6% with 78 cases. CONCLUSIONS:Major complications after radical resection for rectal cancer are dependent on multiple variables such as male patients, those admitted in emergency and patients with hypoproteinemia. Location of tumor on middle rectum, manual suture of anastomosis, number of lymph nodes > 1 were associated with high rate of morbidity. Patients with coronary heart disease and diabetes mellitus didn't had statistical significance, but the rate of morbidity and mortality remains high in this groups. KEY WORDS:Complications, Radical anterior resection, Rectal cancer, Risk factors. :Lo studio analizza i fattori di rischio per complicanze postoperatorie e mortalità dopo resezione anteriore del retto su una casistica di 378 pazienti. Si tratta di pazienti ricoverati nella 3a Clinica Chirurgica dell’Istituto Regionale di Gastroenterologia ed Epatologia “Octavian Fodor” di Romania tra il 2009 e il 2016. Il reclutamento ha riguardato cancri del retto proponibili per la resezione anteriore ad intento curativo. Le complicanze accertate sono state la fistola anastomotica, le infezioni intra-addominali, l’occlusione postoperatoria e le infezioni della ferita. Di significato statistico è risultato il genere maschile, il ricovero d’urgenza, l’ipoprotidemia e la ripresa del transito intestinale. I casi di cancro del medio retto sono risultati con alta incidenza di fistula anastomotica. Ascessi intra-addominali si sono verificati più frequentemente nei casi con sutura anastomotica manuale. Nell’analisi multivariata l’ipoprotidemia ed il numero di linfonodi > 1 si sono dimostrati associati indipendentemente con l’evenienza di suppurazione della ferita. La mortalità a 30 giorni è stata del 4,8% con 18 decessi, e la morbilità ha inciso per il 20,6% con 78 casi. In conclusion le maggiori complicazioni dopo resezione radicale del cancro rettale dipendono da variabili multiple, come il sesso maschile, i ricoveri d’urgenza, e i soggetti malnutriti. Un’alta incidenza di morbilità si è riscontrata nei tumori del medio retto, nelle sutura eseguite manualmente, in caso di linfonodi positivi superiori all’unità. La coronaropatia ed il diabete non hanno mostrato un significato statisticamente rilevante, ma l’incidenza di morbilità e mortalità rimane alta in questi gruppi.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Ciorogar G,Bartos A,Bartos D,Vesa SC,Pop M,Herdean A,Betea I,Ciorogar A,Mois E,Zaharie F,Iancu Csubject
Has Abstractpub_date
2017-01-01 00:00:00pages
505-513eissn
0003-469Xissn
2239-253Xpii
S0003469X17027257journal_volume
88pub_type
杂志文章abstract:INTRODUCTION:The aim of this study is to evaluate the impact of transthoracic endoscopic sympathectomy on plantar hyperhidrosis in patients operated on for upper limb hyperhidrosis. MATERIALS AND METHODS:From 2003 to 2011, 41 consecutive patients underwent videothoracoscopic T3-T4 sympathicotomy or T3-T4 ganglion bloc...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2014-03-01 00:00:00
abstract::Lower extremity's venous pathology was traditionally investigated by intravenous venography. Nowadays Color Doppler flow imaging is widely accepted as a well established, noninvasive method for the evaluation of deep pelvic and lower extremity's venous system. The vast majority of authors conclude that the method can ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2008-07-01 00:00:00
abstract::Ganglioneuroblastoma, nodular (GNBn) is a subtype of neuroblastic tumors. This is a rare malignancy typically affecting young children. Few cases are reported in adolescents and adults. The prognosis is related to the surgical excision radicality. Hereby we present a case of a young male patient age 13 from the Horn ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2012-11-01 00:00:00
abstract::In order to study the interaction between the laser and biological tissues, we realized an experimental "in vivo" model using 12 Wistar male adult rats (mean b.w. 300 gr.). On the animals, during general anesthesia and after an accurate shearing of the back, we performed a cutaneous lozenge in order to value the chara...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract::Radiation enteropathy is a disease that seldom requires surgical treatment, in the chronic variety. We report the findings of four cases we operated in an attempt to identify the weak points of surgery involving a high percentage and morbidity of mortality. NPT (total parenteral nutrition) can favour a positive evolut...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract:AIM:The aim of our study was to assess the value of several prognostic factors for patients with clear cell renal carcinoma without distant metastases (M0) who underwent surgery in our Department from 1980 to 2010. MATERIAL OF STUDY:We analyzed131 consecutive patients with clear cell renal carcinoma who had nephrectom...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2016-01-01 00:00:00
abstract::İNTRODUCTION : Angiomyxoma is a rare slow-growing soft tissue myxoid cell tumor that usually arises in the pelvis and perineal regions and occurs predominantly in women in the fourth decade. Angiomyxomas usually present as often initially misdiagnosed asymptomatic masses. Most common clinical early diagnoses of aggres...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2019-11-10 00:00:00
abstract:BACKGROUND:Severe local and systemic tissue injuries can occur after restoration of tissue oxygenation which is also known as reperfusion injury. Our objective was to investigate the possible protective effects of melatonin against IR damage in hepatic tissue following infrarenal aortic occlusion. METHODS:A total of t...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2016-01-01 00:00:00
abstract::We have studied the levels of the MEGX test in a heterogeneous group of 50 patients with chronic liver disease and with hepatic tumours and we have compared it with the routine LFTS commonly used to assess liver function and with the Child-Pugh Classification system. Our results demonstrate a statistically significant...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
abstract::Parastomal hernia is a frequent complication of stoma surgery. The results of parastomal hernia repair however are poor, showing an high incidence of postoperative recurrences. In the last years, hernia repair with prosthetic mesh has given better postoperative results. The parastomal hernia, however, is associated wi...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract::In this article the Authors take under consideration surgical techniques of segmental osteotomy of the mandible in the treatment of the maxillo-facial skeleton alterations. The anterior inferior alveolar segmental osteotomy, total subapical osteotomy, anterior subapical osteotomy, genioplasty and the midline mandibula...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract:AIM:Macromastia is a social health problem that causes high discomfort in the patients. Goals of reduction mammaplasty are to alleviate physical emotional and psychosocial problems and to restore a conical shaped breast, maintaining scars as short as possible. We report our approach for reduction mammaplasty with super...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2011-05-01 00:00:00
abstract::The authors describe a rare case, recently observed by them, of coexisting primary lymphoma and adenocarcinoma of the stomach. After illustrating the more salient aspects of the clinical and anatomopathological pattern, the Authors discuss the general issue of the simultaneous presence of the two pathologies, analysin...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract:INTRODUCTION:Isolated pancreatic trauma is a rare condition and commonly come up in children or young adults.The poor initial symptoms lead to delay diagnosis and treatment. The treatment of isolated distal pancreatic trauma including the Wirsung's duct is generally distal pancreatectomy. In an emergency setting, splen...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2017-09-12 00:00:00
abstract:AIMS:To investigate demographics, modalities and type of injuries among a population of isolated traumatic injuries of extensor tendons in order to evaluate the consequences on health service and on prevention. METHODS:Retrospective study of injuries treated at the divisions of Plastic Surgery and Orthopedics in a thi...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract::The authors utilised several reviews of the literature and own experience based on 6 cases of non Hodgkin's primary gastric lymphoma. They refer about the importance and the difficulties to make differential diagnosis and on the staging. The authors believe that the treatment of choice is a surgical therapy but the ro...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:Since discovered in 1990, Cag A, a protein expressed by specific strains of Helicobacter pylori, was thought able to explain why only a few Helicobacter infected patients develop peptic diseases and gastric cancer. However, clinical trials provide discordant results. MATERIALS AND METHODS:In this study we e...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2002-11-01 00:00:00
abstract:AIM OF THE STUDY:To demonstrate how, on the basis of the personal experience, the rendezvous technique, in the management of cholelithiasis associated with choledocolithiasis , whenever there is the indication, is better than the sequential treatment. METHODS:From January 2008 to May 2011, 48 patients with cholelithia...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2012-09-01 00:00:00
abstract:INTRODUCTION:Tako-tsubo cardiomyopathy is a rapidly reversible form of acute heart failure triggered by stressful events that occur more frequently in postmenopausal women. A central role is supposed to be played by catecholamines and the association with pheocromocytoma is rare. CASE PRESENTATION:We describe a patien...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2010-11-01 00:00:00
abstract::The authors review the results of clinical experiences regarding arterial and venous homografts. For the treatment of mycotic aneurysms and infected prostheses, in situ repair with vascular homografts represents a valuable alternative to conventional surgical treatments. In fact the large caliber arterial homografts a...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2001-03-01 00:00:00
abstract::Cathartic colon is a rare pathology which hits old people and is radiologically characterized by dolichocolon and megarectum. It is nearly sure that the unusual length of the whole colon might be the first source of the cathartic disease. Rectal ampulla dilatation (megarectum) is due to the extended use of laxatives w...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract:INTRODUCTION:In this study we retrospectively reviewed data on 311 consecutive elective cholecystectomies, performed for benign disease (cholelithiasis, cholecystitis) in our institution in the last six years, in order to determine the frequency of unexpected gallbladder pre-neoplastic and neoplastic lesions and analys...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2013-05-01 00:00:00
abstract:AIM:Retrospective review of aorto-iliac infections in a single vascular surgery center. METHODS:From a retrospective review of their experience in the last 20 years, the Authors analyze a series of 12 cases of aorto-iliac infection. Prognostic factors, surgical options and results are discussed and compared with the l...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2011-11-01 00:00:00
abstract::The authors present clinical and instrumental results of N. 543 operations executed by CHIVA system. These cases are the result of trial performed in seven SIOC (Italian Society of CHIVA Operators) centers executed from November '87 to July '89. Functional and aesthetic results had been very good on over 85% of all ca...
journal_title:Annali italiani di chirurgia
pub_type: 临床试验,杂志文章,多中心研究
doi:
更新日期:1990-07-01 00:00:00
abstract::The author intends to particularly analyse the origin of Surgery as regards its deterministic factors and contexts, resounding the essence and the meaning of Surgery itself. The primary core of the surgical practice dates back to Prehistoric Times, when, driven by his self-preservation instinct, the cave man, when suf...
journal_title:Annali italiani di chirurgia
pub_type: 社论,历史文章
doi:
更新日期:2001-07-01 00:00:00
abstract:AIM:The aim of this study was to investigate whether the completeness of revascularization affects the outcomes in the octogenarian. MATERIAL OF STUDY:We retrospectively reviewed 130 consecutive octogenarians who underwent isolated coronary artery bypass grafting (CABG) between January 2003 and September 2010. Accordi...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2015-01-01 00:00:00
abstract:INTRODUCTION:Penetrating injury of the skull and brain is relatively uncommon, representing about 0.4% of head injuries. In this paper the Authors describe a case of patient victim of transorbital stab with brain injury with good recovery and review the literature about cranial stab wound. CASE REPORT:A 23-year-old ma...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2009-11-01 00:00:00
abstract::Metastatic cancer to the liver from gastrointestinal primary should be treated with surgical resection as a first priority. Biological and physical restrictions on the dissemination of metastatic cancer result in disease dissemination isolated within the liver in selected patients. Although there are numerous prognost...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:1996-11-01 00:00:00
abstract::The gastrointestinal autonomic nerve tumors (GAN tumor) are uncommon stromal tumors of the intestinal tract and retroperitoneum. The distinction of GAN tumors from other gastrointestinal stromal tumors is based on electron microscopic findings. However further study of additional cases is needed to fully characterize ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
abstract::The intraoperative localization of residual parathyroid tissue during re-operations for persistent or recurrent secondary hyperparathyroidism (HPT) could have difficult due to cicatricial phenomena, anatomic modifications, ectopic or super-numerous glands. The use of intraoperative localisatin methods, as ultrasonogra...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2006-11-01 00:00:00